Síndrome de Burnout nas equipes multidisciplinares da Estratégia Saúde da Família

Abstract

Burnout Syndrome (SB) is a continuing development process through contact with the stressors of the work environment. It is composed of three variables that are: emotional exhaustion, depersonalization and professional loss. Work is of fundamental importance as people conferring dignity and personal fulfillment, but it can also be a source of wear, health and mental. The health professions are affected by various situations of stress and disease wear. The present research aims to define the presence of SB in the classification of higher health professionals; to estimate SB prevalence; the most common signs and symptoms; identify a combination of the syndrome as sociodemographic and behavioral variables; Evaluation of SB with Mental Disorders and Quality of Life. It is a cross-sectional census study developed at the Basic Units of Family Health in the city of São Luís-MA. Five evaluation instruments were used: 1) sociodemographic and behavioral to evaluate the social, demographic and behavioral variables; 2) signs and symptoms of SB according to Benevides-Pereira (2002) divided into categories: physical, psychic, behavioral and defensive and 3 validated instruments: 3) Maslach Burnout Inventory (MBI) authored by Maslach and Jackson (1981) validated (WHOQOL-Bref) to evaluate Quality of Life and 5) Hospital Aniety and Depression Scale (HAD) to detect anxiety and depression. The collected data were initially transported to an Excel spreadsheet for Windows 2010 and then to the Epi info statistical program where they were analyzed and discussed based on the existing literature. As for the cut-off point of the SB dimensions for identification, it was chosen to describe the results using the three proposed models: Ramirez et al, Grunfeld et al and Maslach and Jackson besides the Isolated Dimensions. The presence of SB The presence of the Syndrome was identified in 14.5%, 62% and 32.1 respectively. As for the association between Syndrome and the risk of mental illness, it was verified that of the 62% people who presented the risk and 14.5% are with Burnout. The signs and symptoms that showed the strongest association among professionals with Burnout were: muscular or musculoskeletal pain, constant and progressive fatigue, cardiovascular disorders, memory alterations, difficulty in self acceptance, feelings of alienation, aggression, inability to relax, absenteeism, isolation. When a correlation was made between the MBI and HAD instruments, no significant values were found in all criteria for classification of Burnout syndrome. Regarding the quality of life domain and the dimensions of Burnout, a statistically significant correlation was found in all domains and dimensions of SB. Investigating the presence of SB in ESF professionals will avoid the appearance of morbidities and sequelae that undoubtedly hamper the service provided by this worker to the community that is assigned to him.